Didasko | 2024 Coursework Course Application Form

Personal Details

Legal name in Full (as shown on your Passport)

Title *

First Name(s) *

Surname *

Preferred Name (Optional)

ACT Number (if known)

USI (Unique Student Identifier) *

Gender *

Date of Birth *

Contact Details

Term Address (address while studying)

No. & Street *

Suburb *

State *

Other *

Postcode *

Country *

Email Address *

Mobile *

Phone Number (Optional)

Emergency Contact

Name *

Phone Number *

Relationship *

Permanent/Secondary Home Address

Do you have a different secondary or permanent address? *

Yes

Overseas students MUST fill in their HOME country details

No. & Street *

Suburb *

State *

Other *

Postcode *

Country *

Email Address *

Mobile *

Phone Number (Optional)

Study Details

Course Enrolment

Please Select a Course from the Following List *

Please Enter a Short Course Description (Put 'Unsure' if unsure) *

Please select your Intended Study Load *

Full time

Part time

Previous Qualifications

Your highest educational attainment *

Year of Completion *

What is your highest level of school attainment in Australia? *

Unknown/Did not go to school in Australia

Did you attend year 12 in Australia? *

Yes

Year 12 Completion Year *

State Attended Year 12 *

Suburb of school during final year of secondary school *

Are you a domestic school leaver? You are are a domestic school leaver if you completed Year 12 in 2020. *

Yes

Suburb and postcode of permanent home residence in last year of secondary school

Suburb *

Postcode *

Basis for admission to current course *

Demographic and Citizenship

Demographic

Were you born in Australia? *

Yes

Country of Birth *

Year of Arrival Year of Arrival *

Do you speak English at home? *

Yes

Language Spoken at home *

Do you identify as Aboriginal and/or Torres Strait Islander? *

Aboriginal

Torres Strait Islander

Both Aboriginal and Torres Strait Islander

Neither

Do you have a disability, impairment or a long-term medical condition which may impact your learning experience? *

Yes

I'd rather not say

Please indicate the area/s of impairment. Please mark all that apply. *

Hearing

Physical

Vision

Medical Condition

Acquired Brain Injury

Intellectual

Specific Learning Disability

Mental Health Condition

Neurological Condition

Other

Please provide details of your disability *

Would you like to receive advice on support services and facilities which may assist you? *

Yes

Citizenship

Please select your residency status *

Australian Citizen

New Zealand Citizen

Permanent Resident

Temporary Permit Visa (including Student Visa)

Permanent Humanitarian Visa

None of the above and residing outside of Australia for Course of Study

Please select your country of citizenship *

Parent Details

What was the highest level of education completed by your parent/guardian #1 *

What was the highest level of education completed by your parent/guardian #2 *

Regulations and Declaration

Regulation/Terms of Enrolment

Variation of Enrolment: Students who wish to vary their enrolment by addition of or withdrawal from a unit should consult their Affiliated College Registrar for the critical dates that apply to that unit and the procedure to use to apply for a variation. Withdrawal from a unit after the Withdrawal Date will attract a fail (FW) grade. [For more information, see www.actheology.edu.au – Variation of Enrolment]

Closing dates for application: An application for enrolment in a unit lodged after the Administrative Date for the unit may be subject to the Variation of Enrolment Fee.

Credit Transfer / RPL: ACT’s Credit Transfer and Recognition of Prior Learning policies are published on the ACT’s website www.actheology.edu.au.

Resolution: The ACT’s Grievance Resolution Policy for Domestic Students and the Grievance Resolution Policy for Overseas Students are available on the ACT website at www.actheology.edu.au.

Refunds of tuition fees: Candidates who withdraw after the census date of a unit and wish to apply for a tuition fee refund must apply in writing to the Registrar of the Australian College of Theology. A copy of the Tuition Fee Refund application form and policy can be found on the Australian College of Theology website www.actheology.edu.au.

Application and Declaration

I apply to be enrolled in the Course and Units set out above and agree that, upon acceptance, I will be enrolled at the Australian College of Theology on the terms set out above.

Unless I am applying for cross-institutional enrolments or Single Unit Study, I note that I am enrolling in units contributing to the completion of a course of the Australian College of Theology and I declare my intention to complete this course of study.

Should I be accepted as a student of the Australian College of Theology, I will abide by its rules and policies. I understand that I can access the rules and policies relating to my course and my enrolled units on the website of the Australian College of Theology at www.actheology.edu.au

In particular, I acknowledge that I have read, understand and accept:

the Grievance Resolution Policy for Domestic/Overseas Students; and

(if I am an overseas applicant) the ACT Refund Policy and Agreement for Overseas Students.

I also understand that:

The Australian College of Theology is collecting the information in this form for the purpose of assessing my eligibility for the Higher Education Loan Program under the Higher Education Support Act 2003 and allocation of a Commonwealth Higher Education Student Support Number to me; and for program administration purposes, including the viewing of survey data by relevant parties.

The Australian College of Theology will disclose this information to the Australian Government as required under the Higher Education Support Act 2003.

The Australian Government is required to store the information securely.

The Australian College of Theology may disclose information to government departments in relation to transport concessions.

The Australian College of Theology and the Australian Government will not otherwise disclose the information without my consent unless required or authorised by law.

My information may be sent to software vendors in order for me to access software relevant to my course at reduced rates, and not on-sold to any provider.

I have read and acknowledge ACT's statement on COVID-19 vaccination.

Work submitted in relation to this course may be submitted to organisations for academic integrity assurance.

Noting that giving false or misleading information is a serious offence under the Criminal Code, I confirm that, to the best of my knowledge, all the information in this form is correct.

Sign Here

Signature of Applicant: Please Sign in the box below *
NB: only the applicant may sign this form - no proxy signatures will be accepted

Partner Organisations

Please describe your reasons for wanting to study with us *

Church you Currently Attend *

Partner Organisation(s)

If you are connected with one or more partner organisations, please select them from this list

Australian College of Theology

2024 Coursework Course Application Form

Information collected on this form is required to be reported to the Department of Education, and will be used to provide targeted support to students.

Personal Details

Personal Details

Legal name in Full (as shown on your Passport)

Contact Details

Term Address (address while studying)

Emergency Contact

Permanent/Secondary Home Address

Overseas students MUST fill in their HOME country details

Study Details

Course Enrolment

Previous Qualifications

Suburb and postcode of permanent home residence in last year of secondary school

Demographic and Citizenship

Demographic

Citizenship

Parent Details

Regulations and Declaration

Regulation/Terms of Enrolment

Application and Declaration

Sign Here

Partner Organisations

Partner Organisation(s)